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Home My WebLink AboutX2021-0207 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 " Permit Counter Phone (949)644-3288 �. Inspection Requests Phone (949)644-3255 "�crknaa Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0207 Project No: 0220-2021 Issued Date : 04/28/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412812024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1600 E BALBOA BLVD NB Description: SFR -ADD 309 SF 3RD FLR, CONV 74 SF BALCONY TO LIVABLE, REMODEL 200 SF, ADD COVERED DECK 170 SF & UNCOVERED DECKS 237 SF, CONV 110 SF LIVABLE TO Legal Desc.: BALBOA TR EAST SIDE ADD BLK 25 LOT 12 _ Owner: Address: GALVEZ KRISTINA & OSCAR Contractor: 1600 BALBOA BLVD E Address: CARHARTT DEVELOPMENT INC Architect: MOSSMAN ERIC 11511 GARFIELD AVE Address: 2026 W BALBOA BLVD STE B NEWPORT BEACH, CA 92661 SOUTH GATE CA 90280 NEWPORT BEACH CA 92663 Phone: 5621686-1188 Phone: 323-997-3282 Phone: 949.500.7212 State Lic :C019718 Applicant: MOSSMAN ERIC Con State Lic: 1038854 Engineer: GOUVIS GEORGE A Address: 2025 W BALBOA BLVD STE B Lic Expire: 05/31/2022 Address: 3831 BIRCH ST NEWPORT BEACH CA 92663 Bus Lic: BT30076117 NEWPORT BEACH CA 92660 Phone: 9491500.7212 Lic Exp Date: 04/30/2022 Phone: 949-756-1525 State Lic:C-029211 Code Edit : 2019 Worker's Compensation Insurance Designer: Construction: Type ofOccupancy Carrier: EXEMPT Address: CTION NOISE 4�34..J R3 Occupancy Group: R3.0 Policy No: Oro STR NO CONSTRUCTION I®I !�3 @ 90,J1V Added /New sq.ft. Bldg: 273 Expire: Phone: ...... Added /New sq. ft. Garage: _ 0 - .... ° No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: .... No of Units : 1 Front: 5 �I�- Bldg Height: 0 Left: 3 ��p �e O c�� p p DAYS. ll �..l - ° ° Bldg Sprinklers: Right: 3 .. . •. ° Flood Zone: X Use Zone: R-1 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $203,200.00 Building Permit Fee: $2,007.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,568.73 Additional Fee : $0.00 Plan check Fee: $186.00 Fire Inspection: $11.00 • •... ° Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev m •$0.69 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee ® ° Record Management: $66.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm . $26.00 ..... 0 Energy Compliance: $142.24 Grading PC Fee: $0.00 Public Works Department - General Service $m.ad .... CA Seismic Safety: $26.42 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $664.00 Disabled Access : $0.00 PAN Plan Check: $172.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $140.49 San Dist: $994.00 Building Green Fee : $9.00 Mechanical %: $80.28 NMUSD Fee: $0.00 $0.00 umbing %: $180.63 $0.00 TOTAL FEE : 6,380.79 i Plan Check Fee : $1,823.73 Fee Due at Permit Issuance : $4,557.06 PROCESSED BY: PUBLIC WORKS APP AL: ZONING APPROVAL: PLAN CHECK BY: V l GRADING APPROVAL: I APPROVAL TO ISSUE -""-- ILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(;), - Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and lrofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall: ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perju that I am licensed under provisions of Chapter 9 (commencing with Section 00 o Div Sion of the Business and Pro ss' ns Cade, a d my license is in full force Ind effect. License Class License No 0(J 3 1; g5Y Date y Z/ Contractor SignatureT VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and VIT Trfatgjain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th qNgrmaoce of thaws* for which this permit is issued. Policy No. :and will eaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi e carrier antlpbAcy number are: • Policy Number Expiration Date Agent • •• Phone# 'y that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre Ihould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . . of Applicant DtlG yS2 D%TION FI, G IN CONST CTI N LENDING AGENCY / 9ffirm utl$e�rp salty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -Jame Lender's Address Byrs"ignatureJ*Jp1%-certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ��jter the abov -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OFKCOMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMITEXTENDED QMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED Z_ y_-LT C• UU // J� I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITIONS I SIGNATIIRF:-1--07--L--7'